A review of 1059 laparoscopic cholecystectomy cases reported intraoperative perforation of the gallbladder in 306 (29%) of cases, out of which 103 cases had spillage of both bile and gallstones; intraperitoneal spillage of gallbladder contents was associated with an increased risk of intra-abdominal abscess (2.9% vs 0 in cases of intact gallbladder removal) (J Gastrointest Surg 1997;1:85)

Clinical features

The patients may be asymptomatic or present with chronic pain or infectious symptoms

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